護理師照顧一位經尿道攝護腺切除術（TURP）後進行持續性膀胱灌洗的病人。引流袋尿液呈鮮紅色且有濃稠血塊，護理師的首要措施為何？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a TURP. The urine in the drainage bag is bright red with thick clots. What is the nurse's best action?
- ANotify the surgeon immediately立即通知外科醫師
- BClamp the catheter夾住導尿管
- CAdminister pain medication給予止痛藥物
- DIncrease the flow rate of the irrigation solution✓ 正解增加灌洗液的流速
經尿道攝護腺切除術（TURP）術後，持續性膀胱灌洗（CBI）的主要目的是防止血塊堆積造成尿管阻塞。當引流液出現鮮紅色且伴隨濃稠血塊時，代表有活動性出血，若不即時處理，血塊會阻塞尿管導致膀胱脹大、痙攣，甚至引發嚴重疼痛及繼發性出血。護理師的首要措施是增加灌洗速度，利用液體沖刷壓力將血塊帶出，維持管路通暢。若增加速度後引流情況仍無改善，或出現生命徵象不穩定，才需進一步通知醫師處理。
Following transurethral resection of the prostate (TURP), the primary goal of continuous bladder irrigation (CBI) is to prevent clot accumulation from obstructing the catheter. When the drainage is bright red with thick clots, active bleeding is occurring; if not addressed promptly, clots will obstruct the catheter, leading to bladder distention, spasms, severe pain, and even secondary hemorrhage. The nurse's first action is to increase the irrigation rate, using fluid pressure to flush out the clots and maintain a patent system. If drainage does not improve after increasing the rate, or if vital signs become unstable, the surgeon must then be notified.